Improving services and support for older people with mental health ...

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5. Enabling older people to help themselves and each other ............................. 56 5.1 Current perspectives on self-help and peer support................................................. 56 5.2 Meaningful activity.................................................................................................... 57 5.3 Support from friends, family and others.................................................................... 59 5.4 Information............................................................................................................... 61 5.5 Advocacy................................................................................................................. 61 5.6 Support for unpaid carers......................................................................................... 62 5.7 Making a difference.................................................................................................. 64 6. Improving current services................................................................................. 65 6.1 Current perspectives on services.............................................................................. 65 6.2 Housing................................................................................................................... 67 6.3 Primary care............................................................................................................. 69 6.4 Social care............................................................................................................... 72 6.5 Specialist mental health services.............................................................................. 74 6.6 Acute hospitals ....................................................................................................... 75 6.7 Care homes............................................................................................................. 76 6.8 Making a difference.................................................................................................. 78 7. Facilitating change.............................................................................................. 79 7.1 Current perspectives on change............................................................................... 79 7.2 Workforce development........................................................................................... 80 7.3 Workforce education and training............................................................................. 81 7.4 Capacity building and support.................................................................................. 83 7.5 Investment............................................................................................................... 84 7.6 Leadership............................................................................................................... 85 7.7 Making a difference.................................................................................................. 86 8. Conclusions ........................................................................................................ 87 9. Recommendations.............................................................................................. 90 Notes ....................................................................................................................... 99 References............................................................................................................. 108 Acknowledgements............................................................................................... 117
Foreword This Inquiry’s first report drew attention to the neglect of both mental health and of older people in many areas of policy and resource allocation. We highlighted the opportunities to improve mental health in later life and confirmed that deteriorating mental health is not an inevitable part of the aging process. We are encouraged by the interest that has been shown in the first report and are pleased that Age Concern has agreed to monitor progress in the implementation of our recommendations. This second report reviews the services available to older people who experience mental health problems. We add our evidence to that of many other organisations in demonstrating the inadequacies of these services in range, in quantity and in quality. And we add our voices to those of others in calling for care that meets older people’s needs, that receives a fair allocation of resources and that respects the dignity and humanity of the service users. We have attempted to provide a broad picture, recognising dementia as an important problem but stressing the high prevalence of depression, much of which is undiagnosed and under-treated. We highlight the plight of many people experience multiple disadvantage because they are older, have mental health problems and also have to cope with other difficulties such as sensory loss or homelessness. These people are currently invisible in UK society, with few advocates to put their case for the fair treatment that should be a hallmark of a civilised society. Many older people with mental health problems can be helped to maintain an active and productive role in society. Although more resources are needed, much can be achieved by changes in attitude and more imaginative approaches to service delivery. We are grateful to Age Concern for its continuing support of this inquiry and for its commitment to monitor progress in this field and to work with others to press for improvements. I would like to thank the many individuals who have supported this Inquiry and given unstintingly of their time and energy. I am most grateful to all the members of the Inquiry Board, the Advisory Group and our Government participants. Sir William Utting CB, the Deputy Chairman of the Board, has throughout been a source of immense experience and wisdom. It has been a great privilege to work with such colleagues. The Board members all join me in thanking our secretariat. Philip Hurst, from Age Concern England has provided valuable up-to-date information about policy on ageing at a time of rapid change. Michele Lee, the project manager, has worked with great energy and determination. Any success that we achieve will be mainly thanks to her hard work. We hope that our work will generate action as well as interest, and will thus achieve our prime aim of improving the well-being of older people with mental health problems. Dr June Crown CBE Chairman of the Inquiry 3
Page 1 and 2: Improving services and support for
Page 3: Contents Foreword..................
Page 7 and 8: Executive summary n n n n n n n n D
Page 9 and 10: Executive summary Older people poin
Page 11 and 12: UK Inquiry into Mental Health and W
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Page 15 and 16: Chapter 1 Introduction The UK Inqui
Page 17 and 18: Chapter 1 Introduction n n n n Evid
Page 19 and 20: Chapter 2 Facts, figures and policy
Page 35 and 36: Chapter 3 Ending discrimination Key
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Page 47 and 48: Chapter 4 Prioritising prevention K
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Chapter 4 Prioritising prevention 4
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Chapter 4 Prioritising prevention 4
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Chapter 5 Enabling older people to
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Chapter 6 Improving current service
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Chapter 7 Facilitating change Key p
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Chapter 7 Facilitating change Workf
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Chapter 7 Facilitating change compo
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Chapter 7 Facilitating change 7.6 L
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Chapter 8 Conclusions The Inquiry
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Chapter 8 Conclusions The need for
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Chapter 9 Recommendations The Task
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Chapter 9 Recommendations 11. Suppo
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Chapter 9 Recommendations 20. Devel
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Chapter 9 Recommendations 30. Devel
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Notes 1 UK Inquiry into Mental Heal
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Notes 73 Hawton, K. and Harriss, L.
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Notes 171 Scottish Executive (2007)
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Notes 267 Response to call for evid
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Notes 367 Health and Social Care Ad
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References The Bamford Review of Me
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References Government Actuary’s D
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References McMurdo, M.E.T. and With
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References Ross, R.K. et al. (1990)
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Acknowledgements Thanks to all thos
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Acknowledgements Mary Norowzian Roy
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